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NPI Code Detail

MEDICARE: BREA DEANN KILPATRICK PMHNP-BC

MEDICARE: BREA DEANN KILPATRICK PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5019034NC
2363LP0808XPsychiatric/Mental Health Nurse PractitionerC-APN-0003921-C-NPCO

General Provider Information

NPI Number : 1003558362
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREA DEANN KILPATRICK PMHNP-BC
Provider Business Mailing Address
First Line : 3801 BARRETT DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7224
Country : US
Telephone Number : 919-870-8409
Fax Number : 877-622-8953
Provider Business Practice Location Address
First Line : 3801 BARRETT DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7224
Country : US
Telephone Number : 919-870-9409
Fax Number : 877-622-8953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2022
Last Update Date : 12/15/2025

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